Health Care Service Corporation - Employment Opportunities

Health Care Service Corporation - Employment Opportunities [Health Care Service Corporation] Request to Provide Candidates We are a Federal Contractor and Affirmative Action Employer. Below you will find the positions for which we are currently seeking qualified candidates. Please consider this as a request to provide candidates for the following positions: Job Title: Medical Management Specialist I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Business Solutions Account Analyst Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for implementation, day to day maintenance, and renewal of complex group customers across all HCSC states and market segments. This includes day to day oversight of eligibility, billing, reporting, benefits, legislative compliance, vendor integration, and training of internal sale... ________________________________ Job Title: Procurement Sourcing Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for participating in and supporting the design and implementation of strategic sourcing activities; participating in the strategic sourcing process by partnering with users to define specifications and requirements, leading, conducting internal and external data analysis, and providing recommend... ________________________________ Job Title: Care Coordinator UM/CM I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appro... ________________________________ Job Title: Medicaid Regulatory Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL Multiple positions are open Positions are located in the Chicago Headquartes office BASIC FUNCTION This position is responsible for monitoring Medicaid/Medicare and related regulations and policy changes impacting clinical operations; participating in audits; supporting tracking and submission of Medicaid State Contract(s)... ________________________________ Job Title: Project Manager - Government Programs Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTIONS This position is responsible for creating and managing project plans, including schedule, scope, for large, complex projects with minimal oversight; and managing internal resources across the clinical program departments for delivery of a products or services to internal and external entities, i.e. employer... ________________________________ Job Title: Project Coordinator - Government Programs Company: Health Care Service Corporation Experience: 2 to 6 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for providing technical and operational support to departments, divisions or enterprise areas. Perform tasks include developing and managing projects; develop and facilitate training; writing system functionality; testing new development; and maintaining project plans, issue logs,... ________________________________ Job Title: Sr Business Architect Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for the evaluation, planning and initiation of key business investments and helping the IT organization understand the strategic importance and the impact of these investments on various technological capabilities. Required Job Qualifications Bachelor Degree and 5 years Information Technology ex... ________________________________ Job Title: University Relations - Actuarial Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL Why Intern at Health Care Service Corporation? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer owned health insurer in the United States and fourth largest overall, operating through our Blue Cross and B... ________________________________ Job Title: Lead Talent Consultant Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for designing, development, implementation and support of talent management processes and programs for the organization. This includes but is not limited to leadership development, succession planning, performance management, retention strategies, career development processes; organizational seg... ________________________________ Job Title: University Relations - Tax Intern (1-year Internship) Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION Within the Corporate Tax Department this position is responsible for becoming trained; performing technical tax service; and supporting functions relating to corporate tax. JOB REQUIREMENTS 1) Currently enrolled in an Accounting/Taxation program and of at least Junior standing at time of application; 2) Abili... ________________________________ Job Title: Benefits Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for assisting in planning, designing and implementation of corporate benefit programs; researching and interpreting industry and government developments; ensuring compliance with government regulations; working with internal and external vendors on plan administration, contracts,... ________________________________ Job Title: Technology Business Management Lead Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for supporting the budget and financial metric processes across Internal Operations, with primary focus on our cost transparency tool, Apptio. The position will need to be an excellent team player with an aptitude for understanding both financial and operational concepts/procedures for the divis... ________________________________ Job Title: Director Program Oversight Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for directing efforts ensuring compliance with federal, state and local regulatory and contractual obligations. Responsible for the strategic development and the implementation of the system of controls to monitor and oversee the performance of operations, business units and delegated entities i... ________________________________ Job Title: Sr Director Business Solutions - Government Programs Company: Health Care Service Corporation Experience: 7 to 10 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for supporting... ________________________________ Job Title: Application Architect Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for ensuring alignment of project specific designs with application architecture roadmap; supporting project and/or product teams on functional and technical design activities; defining the interaction between application packages, databases, and middleware systems to optimize product functional... ________________________________ Job Title: Customer Advocate I Company: Health Care Service Corporation Experience: 0 to 1 years Salary: Not Provided Job Location: Naperville, IL BASIC FUNCTION Under supervision this position is responsible for researching, analyzing and responding to telephone, written, membership and claim inquiries in a prompt, accurate and professional manner utilizing retail market systems and procedures. Ability to be flexible and accountable toward meeting deadlines in an env... ________________________________ Job Title: Director Quality Improvements & Health Equity Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM This position is responsible for implementing, monitoring, and refining the HCSC health equity strategy. Provide support to executive leadership, as a health equity subject matter expert, in the development of articles, manuscripts, and speeches. Provide strategic guidance across Plans, lines of business, and operational un... ________________________________ Job Title: Infra Exec Support Anl Company: Health Care Service Corporation Experience: 3 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for bringing advanced problem solving in order to craft solutions for the executive leadership team white glove ; supporting troubleshooting hardware, software and network relates issues; diagnosing equipment and address configuration issues; performing a broad range of ITG support for executive... ________________________________ Job Title: Infrastructure Engineer Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for collaborating with Solutions Engineering, Infrastructure Operations, and Infrastructure Service Management teams in the design and build of infrastructure solutions/blueprints for area of responsibility; participating in the design and build of repeatable patterns (build kits) to improve dep... ________________________________ Job Title: Proposal Writer Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Not Provided Job Location: Houston, TX; Danville, IL; Oklahoma City, OK; Bozeman, MT; Abilene, TX; Richardson, TX; Quincy, IL; Downers Grove, IL; Great Falls, MT; Rockford, IL; Waco, TX; Amarillo, TX; El Paso, TX; Waukegan, IL;... BASIC FUNCTION This position is responsible for initiating the writing and coordinating of the activities associated with the Request for Proposal (RFPs) process ensuring the highest quality of service is provided while remaining consistent with the Companys policies, procedures and philosophies. Participate in the activiti... ________________________________ Job Title: Provider Engagement Strategy Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for leading complex projects, a program with a number of sub projects and / or supporting the development of network strategies and/or provider engagement models that reflect innovative ways to buy care across lines of business and geographies by working with various organizationa... ________________________________ Job Title: Sr Program Manager- Data Warehouse Company: Health Care Service Corporation Experience: 6 to 7 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing multiple projects within HCSC's Enterprise Data Services Program with the objective of building trusted information sources, providing enterprise information and advanced analytics, and strengthening data governance. Responsibilities being accountable for end to end delivery, includ... ________________________________ Job Title: Strategic Account Manager II, National Accounts Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Sr Manager Government Program Clinical Ops Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for developing and implementing Managed Care programs and strategies for Government Programs Clinical Operations; establishing cost containment goals and objectives for the department along with policies, practices and procedures needed to meet those objectives; and for representi... ________________________________ Job Title: Sr Manager Government Programs Clinical Ops Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for developing and implementing Managed Care programs and strategies for Government Programs Clinical Operations; establishing cost containment goals and objectives for the department along with policies, practices and procedures needed to meet those objectives; and for representi... ________________________________ Job Title: Care Coordinator UM/CM I (RN) Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and impl... ________________________________ Job Title: Medical Director I Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. JOB REQUIREMENTS Physician with a current and unrestricted physician license in a state or territory of the United States. Maintain Board... ________________________________ Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Principal Program Manager Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for providing a blend of technical and business acumen to drive the design, development, and implementation of strategic programs; building a sufficient level of knowledge of IT products and LOB to enable targeted probing of delivery feasibility and conflicts with other projects; being accountab... ________________________________ Job Title: Sr Portfolio Delivery Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for assisting PDL with end to end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of de... ________________________________ Job Title: Business Architect Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing a view of business capabilities (organization, process, tools, and technologies) required to deliver against the business requirements; creating business capability, value chain, process, business information, and other relevant models to provide business context for business and... ________________________________ Job Title: Financial Supplier Governance Manager Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL Basic Function This position is responsible for Financial Supplier Governance within the IT Finance team. The position will need to be an excellent team player with an aptitude for understanding both financial and operational concepts/procedures for the divisions supported. Continual development and practicing of sound rela... ________________________________ Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Rockford, IL; Moline, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Waukegan, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, IL BASIC FUNCTION This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and s... ________________________________ Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Waukegan, IL BASIC FUNCTION This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and s... ________________________________ Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and s... ________________________________ Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Rockford, IL; Moline, IL BASIC FUNCTION This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and s... ________________________________ Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and s... ________________________________ Job Title: Associate Data Scientist Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for using advanced mathematical and statistical concepts and theories to analyze and collect data and construct solutions to business problems. Performs complex statistical analysis on experimental or business data to validate and quantify trends or patterns identified by business analysts. Cons... ________________________________ Job Title: BA Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for leading the... ________________________________ Job Title: Financial Operations Project Specialist II Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Helena, MT BASIC FUNCTION This position is responsible for serving as a key resource in providing project support and analytics for various initiatives within the Financial Operations Area; to coordinate implementation and project management activities; coordinating assigned aspects of major process improvement efforts; and ensuring R... ________________________________ Job Title: Government Programs Portfolio Lead Company: Health Care Service Corporation Experience: 12 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX At HCSC, our purpose is to "Do everything in our power to stand with our members in sickness and in health." Within the Information Technology Group, we unleash the power of HCSC's purpose by providing innovative technology solutions that enable our business to meet the changing needs of our customers (ie. members, employer... ________________________________ Job Title: Infrastructure Engineer Cloud Auto &Tools Consultant Company: Health Care Service Corporation Experience: 7 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for providing technical leadership in the formulation and execution of cloud architecture; participating in key architecture and Cloud based infrastructure decisions across the organization; developing processes, procedures, policies, and standards for Cloud and Automation services; designing an... ________________________________ Job Title: Intake and Demand Associate Company: Health Care Service Corporation Experience: 2 to 7 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position requires a self starter with a passion for Information Security. The successful candidate will be responsible for ensuring that cybersecurity is addressed in new and/or existing business and technology initiatives; including infrastructure, application development, mobile and cloud solutions. He or she assist... ________________________________ Job Title: Java Developer - XP Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies/delivery models. Most development will be in JAVA and be focusing on working in an XP (Extreme Programming) Pairing enviro... ________________________________ Job Title: Learning & Talent Consultant II Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, IL; Albuquerque, NM BASIC FUNCTION This position is responsible for analyzing performance gaps and learning needs; creating support proposals, creating design strategy documents, and designing effective and efficient performance solutions for the Internal Operations Divisions. The scope includes instructional design for Instructor Led, Web Bas... ________________________________ Job Title: Marketing Service Representative Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Rockford, IL BASIC FUNCTION Under the direction of the Manager, this position is responsible for supporting Sales Representatives or Account Management personnel in the prospecting, acquiring or renewing business. JOB REQUIREMENTS 1 year experience in health care management in a marketing service representative role OR 3 years experienc... ________________________________ Job Title: Sr Accreditation Coordinator Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM Responsible for operations compliance with accreditation and regulatory requirements in assigned areas. Responsible for developing, coordinating, integrating and monitoring accreditation activities and initiatives in compliance to state and federal regulations. Responsibilities include collecting data and developing complia... ________________________________ Job Title: Sr Application Architect - Java Architect Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." Job Purpose This position is responsible for ensuring a... ________________________________ Job Title: Sr Project Manager- IL Company: Health Care Service Corporation Experience: 5 to 7 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK; Albuquerque, NM BASIC FUNCTION This position is responsible for leading large complex projects or a program with a number of sub projects; ensuring the project scope is aligned with the stated business objectives; setting and managing customer expectations; managing and escalating issues and changes; developing and maintaining relationship... ________________________________ Job Title: Systems Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." J ob Purpose This position is responsible for designin... ________________________________ Job Title: Unit Manager Clinical Operations - Government Programs Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals... ________________________________ Job Title: Unit Manager Clinical Operations - Government Programs Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals... ________________________________ Job Title: Unit Manager Quality & Accreditation Company: Health Care Service Corporation Experience: 3 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing staff accountable for designing, implementing and maintaining quality improvement programs and accreditation. This position is responsible for implementing strategies, developing and ensuring completion of projects, identifying areas for improvement, developing busine... ________________________________ Job Title: Divisional Vice President Service Delivery Operations Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for overall performance management of Government Program Appeals & Grievances (Medicare & Medicaid). This role will be responsible for implementing and refining processes to improve quality and efficiency while maintaining compliance with regulatory requirements and contractual obligations. It w... ________________________________ Job Title: Manager Reconciliation and Reporting Company: Health Care Service Corporation Experience: 2 to 6 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing the Uniform Payment Program (UPP,) a mechanism for Illinois facility reimbursement and discount collection. Ensures the accuracy of payment calculations. Leads the team that performs reconciliations and develops provider reporting. Manages the collection of discount receivables for... ________________________________ Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Technology Architect Company: Health Care Service Corporation Experience: 5 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." JOB OVERVIEW Responsible for translating the client's b... ________________________________ Job Title: Unit Manager Clinical Operations - Government Programs Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals... ________________________________ Job Title: Assistant General Counsel - Regulatory Exams Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Business Analyst Specialist Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for leading the... ________________________________ Job Title: Medical Management Specialist I - Goverment Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Danville, IL; Champaign, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Sr Business Architect - Product Catalog Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing a view of business capabilities (organization, process, tools, and technologies) required to deliver against the business requirements; creating future state enterprise business capability models and value chain models. Additional Job Purpose This position will be an integral memb... ________________________________ Job Title: Sr Director IT Product - Digital Data Company: Health Care Service Corporation Experience: 5 to 7 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for the full li... ________________________________ Job Title: Sr. Business Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading the development of functional and non functional business requirements; working with the Business Solutions Lead to understand business strategy and translate into product requirements. Additional Job Purpose Represent business/stakeholder interests by understanding and driving busin... ________________________________ Job Title: Data Scientist Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL This position is responsible for supporting Enterprise Quality and Accreditation activities related to Healthcare Employer Data Information Set (HEDIS) reporting, operations of healthcare provider reporting and internal ad hoc reporting as a subject matter expert on advanced analytics, programming of data automation logic,... ________________________________ Job Title: Instructional Designer I Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for analyzing performance gaps and learning needs; creating course level design strategy documents, and designing effective and efficient learning deliverables for the Internal Operations divisions. Performing instructional design for Instructor Led, Web Based, and blended solutio... ________________________________ Job Title: Instructional Designer II Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for analyzing performance gaps and learning needs; creating program or curricula level design strategy documents, and designing effective and efficient learning deliverables for the Internal Operations divisions. The scope includes instructional design for Instructor Led, Web Base... ________________________________ Job Title: Senior Cyber Threat Specialist Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose The position is responsible for researching... ________________________________ Job Title: Senior Data Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL BASIC FUNCTION This position is responsible for enterprise quality and analytics support and functioning as subject matter expert in creating reports, insights and analytics related to Healthcare Employer Data Information Set (HEDIS) reporting, Quality Star Rating (QRS), state specific reporting and other tasks associated w... ________________________________ Job Title: Senior Manager Divisional Strategy & Planning Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL Our team is looking for a self motivated, dynamic individual to support the Illinois Division. The role will be multi faceted, working on strategy development and business planning, in addition to executing and overseeing initiatives to improve the division's business performance. You will be responsible for developing and... ________________________________ Job Title: Sr Director Design Strategy Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL We are seeking a Director / Design Strategy to join our growing Digital User Experience Team (DUET). Our team crafts compelling user experiences across a spectrum of internal and public tools, in partnership with business stakeholders and IT. Be passionate about design thinking, human centered design, user research, visual... ________________________________ Job Title: University Relations - Government and Consumer Solutions Strategy Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL University Relations Government and Consumer Solutions Strategy Intern Why Intern at Health Care Service Corporation? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer owned health insurer in the United S... ________________________________ Job Title: Account Executive I Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Downers Grove, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Intake & Demand Associate Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Marshall, TX; Chicago, IL; Great Falls, MT; Richardson, TX; Quincy, IL; Rockford, IL; Downers Grove, IL; Naperville, IL; Danville, IL; Waukegan, IL; Jacksonville, IL; Wichita Falls, TX; Springfield, I... This position is responsible for managing intake of all project demand impacting assigned systems and processes. Leading business case initiation, writing, reviewing, assessment and impact analysis including financial and operational aspects. Leading the enterprise and business demand across portfolios, understanding custom... ________________________________ Job Title: Senior Manager Process Excellence Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Dallas, TX This position is responsible for the SDO (Service Delivery Operations) process improvements in any of the following areas eligibility, enrollment & billing, claims administration and member/provider services across one or more lines of business. Partnering with operational process owners to establish strategic goals and pro... ________________________________ Job Title: Sr Business Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." Job Purpose This position is responsible for leading th... ________________________________ Job Title: Systems Developer Support Specialist - Treasury Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION Within the Treasury Department this position is responsible for the support of financial applications, specifically financial reporting unique to the Treasury Operations group; develops, maintains and troubleshoots reports/interfaces for treasury applications; identifies opportunities and develops programs to... ________________________________ Job Title: Associate Business Analyst- Government Programs Company: Health Care Service Corporation Experience: 1 to 4 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading the development of functional and non functional business requirements; working with the Business Solutions Lead to understand business strategy and translate into product requirement. Job Responsibilities Provide technical and operational support of the intake process for IT request... ________________________________ Job Title: Manager Supplier Operations (Service & Delivery Operations) Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing teams of resources that engage with suppliers on a daily basis to monitor service levels, ensure contract compliance, and facilitate end to end issue resolution. Responsible for managing flows of information relating to service levels and adherence to contracts, and is responsible f... ________________________________ Job Title: Medicaid Operations Specialist Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for providing operational services, assistance and program implementation and coordination for one or more of the day to day Medicaid operation functions (e.g. billing, claims enrollment, and customer service.) This resource is responsible for resolving complex and / or escalated... ________________________________ Job Title: Business Process Manager Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Downers Grove, IL The Business Process Manager will lead process team in improvement projects through definition, measurement, analysis, improvement and control phases, interacting with leaders, managers and staff to achieve processes improvements.. These plans and actions are to be supported by detailed analysis and background data includin... ________________________________ Job Title: Custom Implementation Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading moderately complex cross enterprise implementations of custom products or services that are critical to the retention of accounts, maintaining market relevancy and responding to legislative and regulatory initiatives. This role serves as the business lead on a given implementation wi... ________________________________ Job Title: IT/ IS GRC Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members Job Purpose This position is responsible for the planning... ________________________________ Job Title: IT/IS GRC Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for the execution of activities to support the Supplier Security Management aspect of the IT/IS Governance, Risk and Compliance (GRC) program. The Supplier Security Management function is responsible for evaluating the risk introduced by any vendors with which HCSC conducts business. This indivi... ________________________________ Job Title: Medical Reviewer II Company: Health Care Service Corporation Experience: 0 to 3 years Salary: Not Provided Job Location: Danville, IL; Great Falls, MT; Richardson, TX; San Angelo, TX; Marion, IL; Helena, MT; Springfield, IL BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from providers or members concerning medical deter... ________________________________ Job Title: NA Strategic Account Manager I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing, planning and implementing block of existing national accounts to meet specified targets and service accounts to meet corporate and divisional sales/renewal objectives. This position works closely with the assigned Strategic Account Executive as the primary project ma... ________________________________ Job Title: Product Architect Con Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for leading ideation, technical development, and launch of new Infrastructure products for their assigned products; developing infrastructure architecture roadmap and alignment with enterprise architecture; assisting in the development of preliminary product business case(s) aligned to required... ________________________________ Job Title: Sr Application Architect Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for ensuring alignment of project specific designs with application architecture roadmap; supporting project and/or product teams on functional and technical design activities; defining the interaction between application packages, databases, and middleware systems to optimize product functional... ________________________________ Job Title: Sr Business Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading the development of functional and non functional business requirements; working with the Business Solutions Lead to understand business strategy and translate into product requirement. This position will work on large projects, leading other BA's, and assuring we are taking the right... ________________________________ Job Title: Sr Mgr IT Product Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for the full lifecycle management of an IT product (application family), from strategic planning to tactical activities, specifying requirements for current and future products; leading ideation, technical development, and launch of new IT products; establishing a shared vision with business uni... ________________________________ Job Title: Sr Mgr Resource Development Company: Health Care Service Corporation Experience: 3 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for managing the central pool of resources across technologies and platforms, processing resource requests, and coordinating schedule of resources (employee and contractor) to meet business needs. Required Job Qualifications Bachelor Degree and 5 years Information Technology OR 9 years Informati... ________________________________ Job Title: Sr Portfolio Delivery Con Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for assisting PDL with end to end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of de... ________________________________ Job Title: Sr Systems Analyst Company: Health Care Service Corporation Experience: 6 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." Job Purpose This position is responsible for designing... ________________________________ Job Title: Sr Technology Architect Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION Responsible for translating the client s business requirements into specific systems, applications or process designs for very large complex IT solutions and integrating architecture. Acts as an advocate for the client, as the ultimate authority on the architecture designed to address client business problems... ________________________________ Job Title: Strategic Account Manager - Enterprise National Accounts Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for partnering with assigned Account Executive in all aspects of retaining and growing Enterprise National Accounts. Responsible for ongoing service strategy and ensuring client satisfaction. Required Job Qualifications Bachelor degree and 2 years in Healthcare operations handling independent wo... ________________________________ Job Title: Systems Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Busi... ________________________________ Job Title: Test Engineer Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for developing frameworks for test scripting, automation and troubleshooting. Required Job Qualifications Bachelor Degree and 2 years Information Technology experience OR Technical Certification and/or College Courses and 4 year Information Technology experience OR 6 years Information Technology... ________________________________ Job Title: Test Manager Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for assisting in the overall testing effort planning and effort estimation; overseeing the execution of tests according to approved test plans and deployment schedule; leading, guiding and monitoring the analysis, design, implementation and execution of the test cases, test procedures and test s... ________________________________ Job Title: Assoc Test Analyst Company: Health Care Service Corporation Experience: 1 to 4 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for executing functional and non functional testing; assisting in creating standardized test plans and estimating costs of testing efforts. Required Job Qualifications Bachelor Degree OR Technical Certification and/or College Courses and 1 year Information Technology experience OR 4 years Inform... ________________________________ Job Title: Assocaite Developer Company: Health Care Service Corporation Experience: 1 to 4 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / delivery models. Required Job Qualifications Bachelor Degree OR Technical Certification and/or College Courses and 1 yea... ________________________________ Job Title: Infrastructure Engineer Con Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for collaborating with Solutions Engineering, Infrastructure Operations, and Infrastructure Service Management teams in the design and build of infrastructure solutions/blueprints for area of responsibility; participating in the design and build of repeatable patterns (build kits) to improve dep... ________________________________ Job Title: Analytics & Rptg Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX (SDO) This position is part of the Strategic Analytics team within SDO and is responsible for acting as the liaison between business and the SDO Data Science team; communicating healthcare payer based business concepts to the analytics team; communicating and marketing the value of analytics outputs to business users. The c... ________________________________ Job Title: Project Manager Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTIONS This position is responsible for creating and managing project plans, including schedule, scope, for large, complex projects with minimal oversight; and managing internal resources across the clinical program departments for delivery of a products or services to internal and external entities, i.e. employer... ________________________________ Job Title: Senior Provider Engagement Strategy Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for supporting the development of network strategies and/or provider engagement models that reflect innovative ways to buy care across lines of business and geographies; identifying tools to assess and track strategic opportunities, including alternate reimbursement arrangements,... ________________________________ Job Title: Senior Strategic Account Executive, National Accounts Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Accountant Company: Health Care Service Corporation Experience: 1 to 5 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Senior Informatics Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for gathering and assessing business information needs and preparing system requirements. Performs analyses, development and evaluation of data mining in a data warehouse environment which includes data design, database architecture, metadata and repository creation. Uses data min... ________________________________ Job Title: Analytics and Reporting Consultants - Enterprise Pharmacy. Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL POSITION IS LOCATED IN CHICAGO, IL BASIC FUNCTION This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and leading cross functional teams to address the division... ________________________________ Job Title: Developer - Aptitude Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / delivery models. Responsibilities Why do we come to work every day? We come to work to unleash the power of HCSC's purpo... ________________________________ Job Title: Director Project Delivery - Health Care Management Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for working with business partners to align solutions with business strategies; serving as a liaison between the business community and the key stakeholders in order to provide quality technical solutions to meet user needs. Responsible for supporting business needs across delivery cycle and pro... ________________________________ Job Title: University Relations - Enterprise IT Portfolio Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL; Richardson, TX Why Intern at Health Care Service Corporation? University Relations Enterprise IT Portfolio Intern This 10 week internship will be located in the Chicago, IL headquarters. What Are Your Responsibilities? Support the Enterprise IT Portfolio Product Manager with the following tasks Successful project delivery for major Enterp... ________________________________ --